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NOTE: Mean Diff. = mean for patients with left lesions minus the mean for patients with right lesions. Subtests are listed in the order of their mean differences for the total sample, going from the most negative to the most positive. These weighted means are based on data presented in Table 8.9 for five Wechsler-Bellevue and eight WAIS studies. Sample sizes shown are for all subtests except Information, Compre-
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hension, and Digit Symbol, which had missing data for some samples tested on the WAIS. The sample sizes for Information and Comprehension were as follows: WAIS left lesions = 149, right lesions = 169; Total left lesions = 267, right lesions = 289. For Digit Symbol, the corresponding WAIS and Total sample sizes were 109, 129, 227, and 249, respectively.
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results emerge. On the Wechsler-Bellevue, leftlesion patients did best on Object Assembly and Block Design and worst on Digit Span and Arithmetic; on the WAIS, they did best on Picture Completion and Block Design and worst on Digit Symbol and Digit Span. On the WAIS-R, left-lesion patients did best on Picture Completion and worst on Digit Symbol. For patients with right-hemisphere lesions, the following dyads are highest and lowest: on the Wechsler-Bellevue, Comprehension/Information versus Digit Symbol/Picture Arrangement; on the WAIS, Comprehension/Vocabulary versus Digit Symbol/Object Assembly; on the WAIS-R, Vocabulary/Information versus Digit Symbol/ Object Assembly.
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The Psychological Corporation (1997) presented WAIS-III data for 27 patients with temporal lobe epilepsy who had undergone either a left or right lobectomy, but they administered only four Verbal and three Performance subtests. The patients with right lesions scored higher on all subtests except Block Design, which produced nearly equal means (10.4, left lesion; 10.2 right lesion). Consistent with expectancies based on location of the lesion, the patients with right lesions (N = 12) scored much higher than patients with left lesions (N = 15) on the four Verbal tasks (means of 9.8 and 8.3, respectively), but only slightly higher on Performance subtests (10.2 vs. 10.0). In order of magnitude, the differences in favor of the patients with right lesions
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INTEGRATION AND APPLICATION OF WAIS-III RESEARCH
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TABLE 8.12 Differences between the weighted means earned on the 11 Wechsler-Bellevue, WAIS, and WAIS-R subtests by patients with right and left lesions
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Left Lesion Weighted Mean (N = 365) 7.8 7.3 6.7 8.1 7.7 7.5 5.8 9.0 8.6 8.4 8.3 Right Lesion Weighted Mean (N = 386) 10.2 9.7 8.8 9.8 9.4 8.8 6.2 8.3 7.4 7.2 7.1 Left Right Difference 2.4 2.4 2.1 1.7 1.7 1.3 0.4 +0.7 +1.2 +1.2 +1.2
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NOTE: Left Right Difference = mean for patients with left lesions minus the mean for patients with right lesions. Subtests are listed in the order of their mean differences for the total sample, going from the most negative to the most positive. Separate total sample sizes for patients with left lesions on W-B, WAIS, and WAIS-R are 118, 178, and 69, respectively, and for patients with right lesions, sample sizes are 120, 205, and 61, respectively. Sample sizes for some subtests, notably Digit Symbol, are a bit smaller.
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were as follows: Similarities (+2.2), Digit Span (+2.0), Vocabulary (+1.3), Letter-Number Sequencing (+0.5), Matrix Reasoning (+0.5), Digit Symbol-Coding (+0.4), and Block Design ( 0.2).
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Hemispheric Functioning: Process versus Content
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The results summarized in Tables 8.11 and 8.12 are quite revealing and may relate to the reason why patients with left-hemisphere lesions do not display the predicted P > V profile in most studies. For both the Wechsler-Bellevue and WAIS, the deficiencies shown by left-lesion patients are on the third or distractibility factor, not on the Verbal Comprehension dimension namely the
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triad of Digit Span, Arithmetic, and Digit Symbol. (The results from the WAIS-R are not quite as clear-cut. However, only one of the samples included scores from most of the Freedom from Distractibility factor.) The Freedom from Distractibility factor has been interpreted as sequential or successive processing (Bannatyne, 1971, 1974; Kaufman, 1979b, 1994a; Kaufman & Kaufman, 1983b), the type of mental processing that has been associated with the left hemisphere by cerebral specialization researchers (Levy, 1972; Sperry, 1968). Hence, damage to the left hemisphere may disrupt a person s ability to process sequentially, not necessarily his or her ability to handle verbal content. Conversely, left-lesion patients generally performed best on the three Wechsler-Bellevue,
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